Introduction to the inpatient experience
Beginning in October Students will have two inpatient “weeks”, one in the fall and one in spring. The week will begin on a Monday and will run through the following Saturday. Students will work under the supervision of the MAHEC residents as well as the attending hospitalist who is covering for the week. Students will be expected to admit one patient per day and will be expected to take call with the team twice per week. Go here for detailed expectations for the week. The individual schedules are posted on the Asheville Campus website.
1. To develop familiarity with the dynamics of inpatient care of patients on the internal medicine service, including:
a. roles and responsibilities of different members of the physician team
b. collaboration with a multi-disciplinary team
c. principles of medical communication including charting, basic order writing, rounding, consultation
2. To develop skills in assessment of acutely ill adults with a focus on problem formulation, differential diagnostic reasoning, and initial laboratory evaluation.
1. To admit and assess at least 12 patients.
a. Perform initial history and physical and present to intern-resident team. When possible, the student should be the first person on the team to interview and examine the patient.
b. Develop a problem list, differential diagnosis, and diagnostic plan in collaboration with the team.
c. Write orders (paper) and present to resident for review.
d. Write up the initial note and place it in the medical record prior to morning report, for review and feedback by the admitting resident who participated in admitting the patient
e. Present their patients at morning report or on work rounds
f. Attend resident teaching rounds
g. Round each day on the patient and write a note for inclusion in notepack.
2. To actively participate in all of the resident teaching and learning venues while in the hospital including morning report, radiology rounds, noon conference, and attending rounds.
3. All notes will be presented to the student’s continuity preceptor as well as the inpatient attending for the month. Notes will be presented in the form of a note pack containing admission H&P and daily notes.